Annex 1.

PRO-FORMA APPLICATION FOR RENEWAL OF ACCREDITATION

(Individual CPA)

______________________________
Cooperative Development Authority
_________________Extension Office
______________________________

Dear Sir/Madam:

This is to signify my interest to apply for renewal of accreditation as a Cooperative External

Auditor pursuant to CDA Memorandum Circular on the Revised Guidelines on the
Accreditation of Cooperative External Auditors.

In compliance to the said Memorandum, I am submitting herewith the following documents:

i. Updated profile of the applicant with updated 2 x 2 colored ID picture;

ii. Valid PRC ID;
iii. Valid Certificate of Accreditation with the PRC-BOA;
iv. Current PTR issued by the local government;
v. Valid Certificate of Membership in Good Standing with PICPA or its Chapter;
vi. Certificate of Training equivalent to 24 hours of required training for renewal
of Accreditation;
vii. Previous Certificate of Accreditation issued by the CDA;
viii. List of cooperative-clients and years audited;
ix. Sworn statement that I have engaged in Cooperative External Audit or
Preparation of financial statement to at least one (1) micro cooperative that is
free of charge as part of his/her social responsibility, duly supported with
Certification from cooperatives that received such services; and
x. Sworn statement that I have observed the conditions prescribed under Sec. 9
of the Revised Guidelines; and
xi. Other necessary documents.

Thank you for your favorable consideration.

Very truly yours,

_________________
Name